Gastrocnemius strain: Difference between revisions
No edit summary |
|||
| (8 intermediate revisions by 4 users not shown) | |||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
[[File:Sobo 1909 303.png|thumb|Gastrocnemius anatomy]] | |||
*Also known as "Tennis leg" | *Also known as "Tennis leg" | ||
*Typical mechanism of injury is pushing off with foot on affected side | |||
==Clinical Features== | ==Clinical Features== | ||
| Line 7: | Line 8: | ||
*Calf pain | *Calf pain | ||
*Bruising | *Bruising | ||
*Swollen muscle | *Swollen muscle body (generally in medial calf area) | ||
===Calf Raise Test=== | |||
*Plantar flex the affected ankle. Patients with achilles tendon rupture will not be able to complete the motion, gastrocnemius tears will be tender but can partially complete the motion. | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Calf pain DDX}} | {{Calf pain DDX}} | ||
==Evaluation== | |||
*Typically a clinical diagnosis | |||
*May consider tib/fib X-ray or [[DVT ultrasound]] to rule out other diagnoses, if unclear | |||
==Management== | ==Management== | ||
*RICE | *RICE | ||
*NSAIDS | *[[NSAIDS]] | ||
*Ankle/foot bracing in a position of maximal tolerable dorsiflexion | *Ankle/foot bracing in a position of maximal tolerable dorsiflexion | ||
*Early weight bearing as tolerated | |||
==Disposition== | |||
*Discharge | |||
==External Links== | |||
*https://emergencymedicinecases.com/episode-58-tendons-ligaments-missed-orthopedic-injuries/ | |||
==See Also== | |||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
[[Category:Sports Medicine]] | |||
Latest revision as of 04:11, 10 May 2019
Background
- Also known as "Tennis leg"
- Typical mechanism of injury is pushing off with foot on affected side
Clinical Features
- Audible pop
- Calf pain
- Bruising
- Swollen muscle body (generally in medial calf area)
Calf Raise Test
- Plantar flex the affected ankle. Patients with achilles tendon rupture will not be able to complete the motion, gastrocnemius tears will be tender but can partially complete the motion.
Differential Diagnosis
Calf pain
- Achilles tendon rupture
- Calcaneal bursitis
- Cellulitis
- Compartment syndrome
- Deep venous thrombosis (DVT)
- Distal leg fractures
- Gastrocnemius strain
- Ruptured popliteal cyst (Bakers cyst)
- Superficial thrombophlebitis
Evaluation
- Typically a clinical diagnosis
- May consider tib/fib X-ray or DVT ultrasound to rule out other diagnoses, if unclear
Management
- RICE
- NSAIDS
- Ankle/foot bracing in a position of maximal tolerable dorsiflexion
- Early weight bearing as tolerated
Disposition
- Discharge